该综述旨在对当前全球领导人营养不良倡议(GLIM)在外科住院手术患者中应用的相关文献进行范围综述,了解 GLIM 标准在外科手术患者中的实际应用现状及效果,为后续开展 GLIM 标准的应用及验证提供借鉴和参考。 根据澳大利亚 乔安娜布里格斯研究所范围综述指南[1] ,计算机检索 PubMed、CINAHL、Scopus、Embase、The Cochrane Library、Web of Science、 中国生物医学文献数据库、中国学术期刊数据库、中国生物医学文献数据库等,对纳入文献提取数据进行整理和分析。 共有 34 篇文献符合研究标准,外科手术中因胃肠道肿瘤接受手术的患者为 GLIM 标准应用的重点人群,较常见的研究设计类型为 队列研究和横断面研究。 最常用的表现型指标为非自主性体重减轻和低体质指数,最常用的病因型指标为疾病或炎症状 态,GLIM 标准在部分外科住院手术患者的营养不良诊断中具有良好的临床适用性。 尚需要在不同的外科手术患者群体和疾 病环境中严格按照 GLIM 诊断标准进行应用研究,以识别和解决 GLIM 标准可能存在的问题或不足之处,以促进标准的不断 改进和优化,适应不同情境的需求。

This paper aims to conduct a comprehensive review of the relevant literature on the application of GLIM standard in surgical inpatients understand the actual application status and effect of GLIM standard in surgical patients promote the continuous improvement and optimization of the standard and provide reference for the subsequent application and verification of GLIM standard. According to the Australian Joanna Briggs Institute scoping Review guidelines Computer searches were conducted on PubMed CINAHL Scopus Embase The Cochrane Library Web of Science CNKI Wanfang Data Knowledge Service Platform and Chinese biomedical literature database etc. and the extracted data of the included literatures were sorted out and analyzed. A total of 34 literatures met the study criteria. Patients undergoing surgery for gastrointestinal tumors during surgery were the key population for GLIM standard application and the more common types of study design were cohort studies and cross - sectional studies. The most commonly used phenotype indicators are involuntary weight loss and low body mass index and the most commonly used etiological type indicators are disease or inflammatory status. GLIM criteria have good clinical applicability in the diagnosis of malnutrition in some surgical inpatients. There is still a need to use the complete GLIM diagnostic criteria for malnutrition in different surgical patient populations and disease Settings in strict accordance with the guidelines to identify and address possible problems or deficiencies in the GLIM criteria and to promote continuous improvement and optimization of the criteria to meet the needs of different contexts.